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Sovereign Medical Group Llc
Diagnostic Ultrasound Physician in Carlstadt, New Jersey
NPI 1841589298

Sovereign Medical Group Llc is a Diagnostic Ultrasound Physician based in Carlstadt, NJ and is specialized in Diagnostic Ultrasound. Sovereign Medical Group Llc practices in Carlstadt, NJ. The NPI Number for Sovereign Medical Group Llc is 1841589298 and holds a License No. (New Jersey).

The current practice location address for Sovereign Medical Group Llc is 630 Broad St, Carlstadt, NJ and can be reached out via phone at 201-372-1020 and via fax at 201-372-1028.

Location: 630 Broad St, Carlstadt, NJ, 07072-1169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841589298
Provider Name
Sovereign Medical Group Llc
Credential
Provider Entity Type
Organization
Address
630 Broad St, Carlstadt, NJ, 07072-1169
Phone Number
201-372-1020
Fax Number
201-372-1028
Provider Enumeration Date
04/06/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0133311 05 NJ
institution
Provider Business Practice Location Address Details
Address
630 Broad St
City
Carlstadt
State
New Jersey
Zip
07072-1169
Phone Number
201-372-1020
Fax Number
201-372-1028
person
Provider Business Mailing Address Details
Address
630 Broad St
City
Carlstadt
State
New Jersey
Zip
07072-1169
Phone Number
201-372-1020
Fax Number
201-372-1028
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
()
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
207UN0902X
License No.
()
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
()
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
()
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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